Online Application

online application1

APPLICATION FORM

Please read the instructions carefully and fill in the application form with the complete information.
All applicants must submit a copy of personal identification (eg. Identity Card, Passport)

INTAKE INFORMATION

PERSONAL PARTICULARS

Home Address
City
State/Province
Zip/Postal
Country

SIBLINGS INFORMATION

PARENTS INFORMATION

Father's Information

Address
City
State/Province
Zip/Postal
Country

PARENTS INFORMATION

Mother's Information

Address
City
State/Province
Zip/Postal
Country

EMERGENCY CONTACT

Drop a file here or click to upload Choose File
Maximum upload size: 8.39MB

HOW DO YOU GET TO KNOW ABOUT US?

Visit us

OUR ADDRESS

City of Elmina Campus
Persiaran Elmina, Elmina East, 40160 Shah Alam,
Selangor, Malaysia

Phone: 016-630 6866 | 010-295 6340
When

WORKING HOURS

Monday-Friday: 8:00 am – 4:00 pm

GET A CONSULTATION

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